On December 23, 2020, NHS England and NHS Improvement published the final document for updating the National Genomic Test Directory (Test Directory), as well as other documents supporting the application process for amendments. The deadline for applications submission for 2021/22 Test Directory is January 31, 2021.

In late December 2020, the Innovation Committee at the Federal Joint Committee (G-BA) has announced funding from the G-BA Innovation Fund of twenty-eight innovative projects on new forms of medical care.

On December 16, 2020, the Ministry of Solidarity and Health issued a few Orders on the registration of certain endoprostheses by Cook Medical in the List of Reimbursable Products and Services (LPPR) for add-on reimbursement. Conditions of reimbursement for vascular endoprostheses were specified.

In December 2020, the Ministry of Health of the Russian Federation has expanded the Nomenclature of medical services in Russia. Section II of "Nomenclature of medical services" will contain new procedure codes that relate to medical interventions in obstetrics and gynecology.

In December 2020, Swedish Medical Technologies Product (MTP) Council decided to evaluate new technologies for self-monitoring of atrial fibrillation within the Orderly introduction framework. MTP Council commissioned the Swedish Dental and Pharmaceutical Benefits Agency (TLV) to perform a health-economic evaluation of Coala Heart Monitor Pro and KardiaMobile; however, other products may also be considered later.

On December 18, 2020, the Dutch Healthcare Institute (ZIN) published the detailed application form for the Subsidy Scheme for Promising Care with explanatory notes. The closing date for submitting grant applications is March 2, 2021.

In December 2020, the Norwegian Directorate of Health published a final version of the DRG system (Innsatsstyrt finansiering, ISF) for 2021. The new DRGs cover the endocrine procedures, diabetes, and physical exercise therapy areas.

In December 2020, the law on the reform of the Mandatory Health Insurance system was signed by the President of the Russian Federation. The key changes are related to the role of the Medical Insurance Organizations – the current intermediatory between the Fund for Mandatory Medical Insurance and providers of care. From 2021, the Federal Fund will directly contract and provide financing to federal organizations, for provision of High End Medical Care (part 1 of the HEMC List, focused on care, integrated in the Mandatory Medical Insurance financing scheme).

In late December 2020, three more reimbursable health apps in the fields of management of fatigue, migraine and depression were introduced on the Directory of digital health applications (DiGAs) at the Federal Office for Drugs and Medical Devices (BfArM). These applications can be prescribed by physicians and psychotherapists and will be reimbursed by health insurers.

On December 22, 2020, the National Institute for Health and Disability Insurance (INAMI-RIZIV) announced a pilot project which concerns the remote monitoring of COVID-19 patients before and after their hospitalization as part of an integrated medical approach supported by digital applications.

The Danish Health Authority (Sundhedsstyrelsen) updates the Health Care Classification System (Sundheds-væsenets Klassifikations System, SKS) quarterly. It publishes the updates on its website two weeks before the implementation, while the files with the changes are sent to the hospital systems. The most significant changes include new codes in the fields of ophthalmology, gynecology, COVID testing, and radiological imaging.

On December 22, 2020, the Swiss Federal Office of Public Health announced the changes that will occur to the Services Ordinance (KLV/OPre). The changes concern the general part of the Services Ordinance (KLV/OPre), and all four of its Annexes, which define the coverage of services (List of explicitly evaluated services, List of Medical Aids and Equipment, List of Analyses, List of Medications with Tariff). The updates will enter into force on January 1, 2021. Updates concern among others bariatric surgery, Autologous Chondrocyte Transplantation, ultrasound focused therapy for neurological indications.